{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:25:56Z","timestamp":1780352756451,"version":"3.54.1"},"reference-count":19,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec id=\"S2056469420000960_sec_a1\"><jats:title>Aims and method<\/jats:title><jats:p>To explore the experiences and support needs of consultant forensic psychiatrists, whose patients had committed homicide while under their care. We circulated a survey to all forensic psychiatrists in the UK, through the Royal College of Psychiatrists, asking about their experiences of a homicide by a patient under their care. Respondents were invited to discuss their experiences further in a structured telephone interview and themes were identified from these discussions. Data were analysed quantitatively and qualitatively.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469420000960_sec_a2\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>One-third of the 86 respondents had had at least one patient who had committed a homicide while under their care. Of these, over three-quarters (78%) reported that the homicide had a significant impact on their personal life, professional life and\/or mental\/physical health. For some respondents, the impact was severe and long term. Respondents generally felt that they would have been helped by receiving more support in the aftermath of the homicide.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469420000960_sec_a3\"><jats:title>Clinical implications<\/jats:title><jats:p>Greater recognition is needed of the impact on treating psychiatrists of homicide by a patient and more support is needed for affected clinicians. Further research is necessary, including the effects of such events on colleagues in other specialties and examination of the costs versus the benefits of mandatory inquiries after homicides.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjb.2020.96","type":"journal-article","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T09:10:01Z","timestamp":1603703401000},"page":"183-189","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Impact of homicide by a psychiatric patient on forensic psychiatrists: national survey"],"prefix":"10.1192","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9741-4773","authenticated-orcid":false,"given":"Gillian","family":"Mezey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renarta","family":"Rowe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0807-1757","authenticated-orcid":false,"given":"Gwen","family":"Adshead","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"S2056469420000960_ref2","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2019.26"},{"key":"S2056469420000960_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2009.04.004"},{"key":"S2056469420000960_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e8693"},{"key":"S2056469420000960_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-4560.1983.tb00138.x"},{"key":"S2056469420000960_ref19","doi-asserted-by":"publisher","DOI":"10.1192\/apt.5.5.321"},{"key":"S2056469420000960_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.313.7064.1069"},{"key":"S2056469420000960_ref8","doi-asserted-by":"publisher","DOI":"10.1080\/09585189708412002"},{"key":"S2056469420000960_ref5","unstructured":"5 Department of Health. Guidance of Discharge of Mentally Disordered People and their Continuing Care in the Community (Health Service Guideline LASSL(94)4). Department of Health, 1994."},{"key":"S2056469420000960_ref10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e4692"},{"key":"S2056469420000960_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/0093854810374274"},{"key":"S2056469420000960_ref11","doi-asserted-by":"publisher","DOI":"10.1037\/a0020473"},{"key":"S2056469420000960_ref17","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbp112"},{"key":"S2056469420000960_ref3","doi-asserted-by":"publisher","DOI":"10.1192\/pb.24.1.6"},{"key":"S2056469420000960_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0955603600002506"},{"key":"S2056469420000960_ref1","unstructured":"1 Healthcare Quality Improvement Partnership. The National Confidential Inquiry into Suicide and Safety in Mental Health: Annual Report: England, Northern Ireland, Scotland, Wales. October 2018. University of Manchester, 2018."},{"key":"S2056469420000960_ref18","doi-asserted-by":"publisher","DOI":"10.1080\/10282580600564784"},{"key":"S2056469420000960_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/pb.26.2.44"},{"key":"S2056469420000960_ref14","doi-asserted-by":"publisher","DOI":"10.1037\/int0000013"},{"key":"S2056469420000960_ref9","doi-asserted-by":"publisher","DOI":"10.1080\/09585180010027914"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469420000960","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T08:14:25Z","timestamp":1659428065000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469420000960\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,26]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["S2056469420000960"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2020.96","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,26]]},"assertion":[{"value":"Copyright \u00a9 The Authors 2020. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is included and the original work is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}